NPI | 1295373447 |
---|---|
Former Name | SAMANTHA THERESA BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 131093) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904012394) |
Enumeration Date | 2019-12-18 |
Last Update Date | 2023-12-06 |